DR. WILLIAM JOSEPH GRANDE (NPI# 1679785653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679785653 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOSEPH GRANDE |
| Credential | M.D. |
| Practice Address |
10700 E Geddes Ave 200 Englewood CO 80112-3800 |
| Mailing Address |
10700 E Geddes Ave Suite 200 Englewood CO 80112-3800 |
| Practice Telephone | 3037619190 |
| Practice Fax Number | 7208744462 |
| Mailing Telephone | 3037619190 |
| Mailing Fax Number | 7208744462 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17527 | HI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
04-36283 | KS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
26121 | NE | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
49706 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2005019104 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
49706 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 47525070 | 05 | |
| WY | 1679785653 | 05 | |
| KS | 200870160A | 05 | |
| AZ | 767467 | 05 | |
| NE | 10026133600 | 05 |
| Street Address |
10700 E GEDDES AVE 200 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80112-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083401 | Phillip Gunther | Radiology | 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 | 2005-12-07 |
| 1376992818 | Terri A Schaber | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2016-06-06 |
| 1720485725 | Patricia Roeber Petrosky | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2014-11-19 |
| 1871914721 | Rocky Mountain Medical Group P.C. | Preventive Medicine | 10700 E Geddes Ave, Suite 100, Englewood, CO 80112-3800 | 2013-12-19 |
| 1992134621 | Annette V. Wychgram | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2013-11-04 |
| 1588939714 | Amanda Leigh Small | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2012-03-21 |
| 1245514710 | Jessica Brooke Gaither | Radiologic Technologist | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2011-10-03 |
| 1134402415 | Benjamin Atchie | Radiology | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2011-09-23 |
| 1386955516 | Amy Rebecca Yactor Tolbert | Radiology | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2010-06-22 |
| 1972739001 | Michelle T Black | Internal Medicine | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2009-06-03 |
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|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379146 | Interventional Institute of Colorado | Radiology | 135 Inverness Dr E, Englewood, CO 80112-5115 | 2018-06-11 |
| 1780947531 | Nishant Anilkumar Patel | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112 | 2012-06-18 |
| 1699060582 | Cosette M. Stahl | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2011-06-18 |
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| 1831354539 | Aaron C Kovaleski | Radiology | 8080 Park Meadows Dr Ste 150, Lone Tree, CO 80124-2566 | 2008-07-22 |
| 1295795169 | Robert P Allen | Radiology | 210 University Blvd, Ste 102, Radiology Specialists of Denver, Denver, CO 80206 | 2006-03-24 |
| 1942290721 | Bryan Cortis Kramer | Radiology | 1601 E. 19th Ave #3950, Denver, CO 80218 | 2005-10-24 |
| 1982691440 | Timo M Quickert | Radiology | 4848 Thompson Pkwy, Suite 300, Johnstown, CO 80534-6433 | 2005-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.